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TOOTHACHE and FOSAMAX

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TOOTHACHE Symptoms and Causes

What is tooth decay?

Tooth decay is damage to a tooth's surface, or enamel. It happens when bacteria in your mouth make acids that attack the enamel. Tooth decay can lead to cavities (dental caries), which are holes in your teeth. If tooth decay is not treated, it can cause pain, infection, and even tooth loss.

What causes tooth decay?

Our mouths are full of bacteria. Some bacteria are helpful. But some can be harmful, including the ones that play a role in tooth decay. These bacteria combine with food to form a soft, sticky film called plaque. The bacteria in plaque use the sugar and starch in what you eat and drink to make acids. The acids begin to eat away at the minerals on your enamel. Over time, the plaque can harden into tartar. Besides damaging your teeth, plaque and tartar can also irritate your gums and cause gum disease.

You get fluoride from toothpaste, water, and other sources. This fluoride, along with your salvia, helps the enamel repair itself by replacing the minerals. Your teeth go through this natural process of losing minerals and regaining minerals all day long. But if you don't take care of your teeth and/or you eat and drink lots of sugary or starchy things, your enamel will keep losing minerals. This leads to tooth decay.

A white spot may appear where minerals have been lost. This is an early sign of tooth decay. You may be able to stop or reverse the decay at this point. Your enamel can still repair itself, if you take better care of your teeth and limit sugary/starchy foods and drinks.

But if the tooth decay process continues, more minerals are lost. Over time, the enamel is weakened and destroyed, forming a cavity. A cavity is a hole in your tooth. It is permanent damage that a dentist has to repair with a filling.

Who is at risk for tooth decay?

The main risk factors for tooth decay are not taking care of your teeth and having too many sugary or starchy foods and drinks.

Some people have a higher risk of tooth decay, including people who

  • Don't have enough saliva, because of medicines, certain diseases, or some cancer treatments
  • Don't get enough fluoride
  • Are very young. Babies and toddlers who drink from bottles are at risk, especially if they are given juice or get bottles at bedtime. This exposes their teeth to sugars for long periods of time.
  • Are older. Many older adults have receding gums and more wear on their teeth. These raise the risk of decay on the exposed root surfaces of their teeth.
What are the symptoms of tooth decay and cavities?

In early tooth decay, you usually don't have symptoms. As tooth decay gets worse, it can cause

  • A Toothache (tooth pain)
  • Tooth sensitivity to sweets, hot, or cold
  • White or brown stains on the surface of a tooth
  • A cavity
  • An infection, which can lead to an abscess (pocket of pus) forming. The abscess can cause pain, facial swelling, and fever.
How are tooth decay and cavities diagnosed?

Dentists usually find tooth decay and cavities by looking at your teeth and probing them with dental instruments. Your dentist will also ask if you have any symptoms. Sometimes you may need a dental x-ray.

What are the treatments for tooth decay and cavities?

There are several treatments for tooth decay and cavities. Which treatment you get depends on how bad the problem is:

  • Fluoride treatments. If you have early tooth decay, a fluoride treatment can help the enamel to repair itself.
  • Fillings. If you have a typical cavity, your dentist will remove the decayed tooth tissue and then restore the tooth by filling it with a filling material.
  • Root canal. If the damage to the tooth and/or an infection spreads to the pulp (inside of the tooth), you might need a root canal. Your dentist will remove the decayed pulp and clean inside the tooth and root. The next step is to fill the tooth with a temporary filling. Then you will need to come back to get a permanent filling or a crown (a cover on the tooth).
  • Extraction (pulling the tooth). In the most severe cases, when the damage to the pulp cannot be fixed, your dentist may pull the tooth. Your dentist will suggest that you get a bridge or implant to replace the missing tooth. Otherwise, the teeth next to the gap may move over and change your bite.
Can tooth decay be prevented?

There are steps that you can take to prevent tooth decay:

  • Make sure that you get enough fluoride by
    • Brushing with a fluoride toothpaste
    • Drinking tap water with fluoride. Most bottled water does not contain fluoride.
    • Using fluoride mouth rinse
  • Practice good oral health by brushing your teeth twice a day with a fluoride toothpaste and regularly flossing your teeth
  • Make smart food choices by limiting foods and drinks that are high in sugars and starches. Eat nutritious, balanced meals and limit snacking.
  • Do not use tobacco products, including smokeless tobacco. If you currently use tobacco, consider quitting.
  • See a dentist for regular check-ups and professional cleanings
  • Make sure that your children get sealants on their teeth. Dental sealants are thin plastic coatings that protect the chewing surfaces of the back teeth. Children should get sealants on their back teeth as soon as they come in, before decay can attack the teeth.

NIH: National Institute of Dental and Craniofacial Research

Check out the latest treatments for TOOTHACHE

TOOTHACHE treatment research studies

FOSAMAX clinical trials, surveys and public health registries


Find Drug Side Effect reports



FOSAMAX Side Effects

Femur Fracture (5674)
Anxiety (3177)
Osteonecrosis (2820)
Fall (2638)
Depression (2384)
Arthralgia (1887)
Dental Caries (1636)
Arthropathy (1621)
Back Pain (1566)
Low Turnover Osteopathy (1355)
Anaemia (1283)
Osteomyelitis (1270)
Hypertension (1242)
Blood Cholesterol Increased (1236)
Impaired Healing (1123)
Abscess (1121)
Adverse Event (1103)
Bone Density Decreased (1051)
Bone Disorder (1050)
Chest Pain (1022)
Bronchitis (915)
Tooth Disorder (890)
Arthritis (849)
Gastrooesophageal Reflux Disease (838)
Intramedullary Rod Insertion (835)
Osteonecrosis Of Jaw (834)
Cataract (805)
Osteoarthritis (784)
Osteoporosis (749)
Pain In Extremity (719)
Stress Fracture (715)
Jaw Disorder (708)
Asthma (706)
Cellulitis (697)
Chronic Obstructive Pulmonary Disease (679)
Abdominal Pain (632)
Diarrhoea (584)
Asthenia (582)
Constipation (557)
Bursitis (552)
Atrial Fibrillation (550)
Pain (544)
Exostosis (531)
Fatigue (522)
Oral Infection (505)
Carpal Tunnel Syndrome (503)
Dizziness (502)
Foot Fracture (501)
Hip Fracture (497)
Headache (477)

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Common Meds

Abilify (10132)
Adderall (1304)
Amlodipine (6664)
Amoxicillin (4387)
Benadryl (1568)
Celebrex (12876 )
Celexa (1342)
Cialis (2975)
Cipro (8580)
Citalopram (7792)
Crestor (18839)
Cymbalta (14373)
Doxycycline (1757)
Effexor (7289)
Flexeril (435)
Flomax (2177)
Fluoxetine (4261)
Gabapentin (4593)
Hydrocodone (2469)
Ibuprofen (8222)
Lantus (10968)
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Lipitor (17769)
Lisinopril (8919)
Lyrica (27148)
Medrol (650)
Mirena (41254)
Mobic (957)
Morphine (5356)
Naproxen (538)
Neurontin (6501)
Oxycodone (4438)
Pradaxa (13372)
Prednisone (5926)
Prilosec (2631)
Prozac (1954)
Seroquel (27216)
Simvastatin (8348)
Synthroid (4452)
Tamiflu (5585)
Topamax (3748)
Tramadol (5054)
Trazodone (1458)
Viagra (5394)
Vicodin (1153)
Wellbutrin (6324)
Xanax (2847)
Zocor (5718)
Zoloft(6792)
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Recent Reviews

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A few months back while I was still brushing with Sensodyne Pronamel, I developed a cavity (toothache) I believe that the toothpaste pushed this infection back up into my cheek. I was told by an Oral surgeon that the infection was heading towards my

Dentist gave me 400mg of metronidazole for toothache i feel sick and dizzy i keep going hot and cold and my skin goes red

I have been experiencing severe headache with toothache after taking Nicorandil for 8 days.

I have been suffering with a toothache on and off for about a week. I decided to apply orajel extra strength to my tooth friday night it immediately wore off. I woke up saturday morning i woke up with a small part of my tongue swollen i didnt pay any

I have had toothache for 4 days and it is increasing, i cant even get to sleep at night what do you think i should do.

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I was suffering from a terrible toothache.So I bought some orajel liquid extra strengh and applied it to the infected tooth and surrounding gum area, after about 5 minutes the pain sub sided but after about 20 minutes the pain came back and

Midol Cramping Uses &amp; Side Effects <b>Common Uses:</b>This medication is used to reduce fever and treat pain or inflammation caused by many conditions such as headache, toothache, back pain, arthritis, menstr

Of course I cannot prove this, but there appears to be a link between my taking Panadol for a toothache and having an eruption of red dry skin either side of my nose and on my forehead within a day or so.

This drug is rubbish and should be removed from the shelf. After taking just one tablet I have had severe side affects such as; Very Bad Headache Very Bad Toothache and saw jaw and cheekbone Very Weak Dizziness Aches and Pains all over Blocked nose

TOOTHACHE Clinical Trials and Studies

Treatments might be new drugs or new combinations of drugs, new surgical procedures or devices, or new ways to use existing treatments. The goal of clinical trials is to determine if a new test or treatment works and is safe. Clinical trials can also look at other aspects of care, such as improving the quality of life for people with chronic illnesses. People participate in clinical trials for a variety of reasons. Healthy volunteers say they participate to help others and to contribute to moving science forward. Participants with an illness or disease also participate to help others, but also to possibly receive the newest treatment and to have the additional care and attention from the clinical trial staff.
Rank Status Study
1 Recruiting Maxigesic 325 Acute Dental Pain Study
Condition: Dental Pain
Interventions: Drug: Maxigesic 325;   Drug: Acetaminophen;   Drug: Ibuprofen;   Drug: Placebo
Outcome Measure: SPID (Summed Pain Intensity Differences)
2 Recruiting Effectiveness and Safety of Different Doses of BI 1026706 in Patients With Postoperative Dental Pain
Condition: Pain, Postoperative
Interventions: Drug: Placebo to BI 1026706 solution;   Drug: BI 1026706;   Drug: Placebo to BI 1026706 tablet;   Drug: Celecoxib
Outcome Measures: Time-weighted sum of pain intensity difference (PID) from 0 to 8 hours post drug administration (SPID0-8h);   Time-weighted total pain relief (PAR) from 0 to 8 hours (TOTPAR0-8h);   Time-weighted sum of PID from 0 to 2 hours (SPID0-2h);   Time to meaningful pain relief;   Time to first dose of rescue medication
3 Not yet recruiting Local Anesthesia and Analgesics in Endodontic Pain
Condition: Odontalgia
Interventions: Drug: Oral placebo;   Drug: Oral ibuprofen;   Drug: oral naproxen;   Drug: oral acetaminophen/hydrocodone + ibuprofen
Outcome Measures: Effect of long acting anesthesia and analgesics on endodontic pain;   Effect of gender and age on post-operative endodontic pain treatment
4 Unknown  Efficiency Evaluation of Intradiploic Intra-osseus Anesthesia Versus Inferior Alveolar Nerve Block
Condition: Dental Pain
Intervention: Procedure: Dental anesthesia
Outcome Measure: To evaluate the Quicksleeper efficiency used in first intention versus inferior alveolar nerve block used in most current dental treatment.
5 Not yet recruiting Ketamine in Post-operative Dental Pain and Recovery
Condition: Post-operative Pain
Interventions: Drug: Ketamine;   Drug: Dexamethasone;   Drug: Normal Saline
Outcome Measures: Pain scores as numerical rating scale after operation;   Facial oedema measured by using 3D laser scanning of the face;   Number of patients having adverse effects;   Serum IL-6 and TNF - α
6 Unknown  Comparative Efficacy of 20% Benzocaine Versus TAC Alternate Gel
Conditions: Dental Pain;   Postoperative Pain
Interventions: Drug: benzocaine;   Drug: TAC alternate gel
Outcome Measures: visual analogue scale score;   blood pressure;   oxygen saturation;   heart rate
7 Recruiting Epigenetic Influences on Post-Surgical Acute and Chronic Pain
Condition: Acute Pain
Intervention:
Outcome Measures: pain score;   IL-6 and TNF-α expression
8 Recruiting In Vitro Studies on Pharmacological Regulation and Genetic Risk Factors of Peripheral Human Nociceptors
Condition: Pain
Intervention:
Outcome Measures: Effects of inflammation in periradicular tissues.;   Altered pain reports.
9 Not yet recruiting Impact of the Radiographic Examination on Diagnosis and Treatment Decision of Caries Lesions in Primary Teeth
Conditions: Dental Caries;   Teeth Loss;   Quality of Life
Intervention: Procedure: Dental treatment
Outcome Measures: Number of dental surfaces with operative treatment needs;   Number of surfaces with new caries lesions;   Number of restored surfaces with necessity of replacement;   Episodes of dental pain and/or primary teeth with pulpal involvement;   Primary teeth indicated for extraction due to caries